Ridge Dental Group, Ltd in Minooka - General Practice

Ridge Dental Group, Ltd - NPI 1710196191

Ridge Dental Group, Ltd is a General Practice in Minooka, Illinois. Ridge Dental Group, Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ridge Dental Group, Ltd is 1710196191. The last update date is 2008-12-15.

Ridge Dental Group, Ltd's current location address is 2003 Ridge Road, Minooka, Illinois. You can contact this provider via phone number 8155214292. The mailing address for Ridge Dental Group, Ltd is 2003 Ridge Road, Minooka, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ridge Dental Group, Ltd
Address 2003 Ridge Road, Minooka, Illinois
Phone Number 8155214292
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Faith J Matthew
Credentials D.D.S.
Telephone Number 8155214292

NPI Number Detail

NPI Number 1710196191
Provider Enumeration Date 2007-05-22
Last Updated Date 2008-12-15

Provider Mailing Address Detail

Address 2003 Ridge Road
City Minooka
State Illinois (IL)
Post Code 60447
Phone Number 8155214292
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19024522
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Ridge Dental Group, Ltd

What is the unique provider identifier assigned to Ridge Dental Group, Ltd?

The Ridge Dental Group, Ltd has been issued the NPI (National Provider Identifier) 1710196191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Ridge Dental Group, Ltd is physically located?

The Ridge Dental Group, Ltd is situated at the following address: 2003 Ridge Road, Minooka, IL 60447.

What is Ridge Dental Group, Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ridge Dental Group, Ltd is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Ridge Dental Group, Ltd receive the assignment of its 1710196191 from the Centers for Medicare & Medicaid Services?

The Ridge Dental Group, Ltd was issued its 1710196191 by the Centers for Medicare & Medicaid Services on 2007-05-22.

As of what date were the details pertaining to Ridge Dental Group, Ltd last refreshed?

The information related to the Ridge Dental Group, Ltd, including its address, specialty, and other relevant details, was last updated on 2008-12-15.

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